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Non-small Cell Lung CancerPhase 1/2NCT04444427

Evaluation of GLR2007 for Advanced Solid Tumors

A Phase 1/2 study testing GLR2007 in people with Non-small Cell Lung Cancer and Glioblastoma Multiforme, run by Gan and Lee Pharmaceuticals, USA at 4 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Evaluation of GLR2007 for Advanced Solid Tumors Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
GLR2007
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
19 participants
Where
4 sitesUnited States
Study dates
15 Jul 2020to 29 Jul 2022
Phase
Phase 1/2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • For Part 1 (Dose Escalation): Participants with advanced solid tumors who are refractory or intolerant to therapies known to provide clinical benefit.
  • For Part 1 (Dose Escalation): The participant must have histological or cytological evidence of cancer (a solid tumor) that is advanced and/or metastatic. Biopsy is allowed by protocol if no histology or cytology records are available.
  • For Part 2 (Dose Expansion): The participant must have histological or cytological evidence of cancer that is advanced and/or metastatic.
  • For Part 1 (Dose Escalation): The participant has measurable or non-measurable disease.
  • For Part 2 (Dose Expansion): The participant has measurable disease.
  • The participant has given written informed consent prior to all study-specific procedures.
Show all 30Show fewer
  • The participant has adequate hematologic, hepatic, and renal function.
  • The participant has discontinued all prior cancer therapies (including chemotherapy, immunotherapy, and investigational therapy) for at least 21 days for myelosuppressive agents or 14 days for radiotherapy and non-myelosuppressive agents, prior to receiving GLR2007, and has recovered from the acute effects of therapy (treatment related toxicity resolved to ≤Grade 1) except for residual alopecia.
  • The participant is willing and able to make themselves available for the duration of the study and is willing and able to follow study procedures.
  • The participant meets contraceptive requirements.
  • The participant has an estimated life expectancy of ≥3 months.
  • The participant agrees to minimize ultraviolet exposure and sunlight for the duration of their study participation.
  • A diagnostic contrast-enhanced magnetic resonance imaging (MRI) of the brain must be performed within 28 days prior to registration. Contrast-enhanced computed tomography (CT) is acceptable if MRI is not possible.
  • Cohort-specific inclusion criteria Part 2 (Cohort A, NSCLC)
  • Histologically or cytologically confirmed NSCLC.
  • Participants must have received at least 1 line of standard therapy for metastatic disease, including platinum-based chemotherapy and an immune checkpoint inhibitor given together or as separate lines of therapy, unless participants are ineligible for or cannot tolerate such therapy.
  • Participants with anaplastic lymphoma kinase (ALK), epidermal growth factor receptor (EGFR), proto-oncogene tyrosine-protein kinase ROS (ROS1), v-Raf murine sarcoma viral oncogene homolog B (BRAF), and neurotrophic receptor tyrosine kinase 1 (NTRK) aberrations must have received therapy directed at their molecular aberration in order to enroll on this study.
  • Part 2 (Cohort B, Brain metastases of breast or NSCLC origin)
  • Histologically or cytologically confirmed NSCLC or breast cancer at primary site.
  • Participants with inoperable brain metastases (prior radiation therapy and/or stereotactic radiosurgery is allowed). A neurosurgical consult is at the discretion of the investigator.
  • Participants with brain metastases of NSCLC origin must have received at least 1 line of standard therapy for metastatic disease, including platinum-based chemotherapy and an immune checkpoint inhibitor given together or as separate lines of therapy, unless participants are ineligible for or cannot tolerate such therapy.
  • Participants with ALK, EGFR, ROS1, BRAF, and NTRK aberrations must have received therapy directed at their molecular aberration in order to enroll on this study.
  • Participants with brain metastases from breast cancer who have previously received CDK4/6 inhibitors.
  • Part 2 (Cohort C, GBM)
  • Histologically confirmed diagnosis of a recurrent primary World Health Organization Grade IV malignant glioblastoma. Participants with recurrent disease whose diagnostic pathology confirmed glioblastoma will not need re-biopsy. Participants with prior low-grade glioma or anaplastic glioma are eligible if histologic assessment demonstrates transformation to GBM.
  • First recurrence of GBM.
  • Candidate for surgical partial or gross-total resection.
  • Radiographic demonstration of disease progression by contrast-enhanced CT or MRI following prior therapy.
  • At least 2 weeks between prior surgical resection and adequate wound healing.
  • At least 12 weeks from prior radiotherapy unless there is either histopathologic confirmation of recurrent tumor or new enhancement on MRI outside of the treatment field.

Who cannot join

  • The participant has a personal history of any of the following conditions: major surgical resection involving the stomach or small bowel recurrent, unexplained or cardiac-related syncopal episodes within the last 6 months or ventricular arrhythmia (including but not limited to ventricular tachycardia and ventricular fibrillation).
  • Any concurrent malignancies currently requiring treatment or for which treatment would be deemed necessary within 3 months of enrollment; prostate cancer with androgen deprivation therapy, basal cell cancer, and squamous cell cancers are allowed.
  • The participant is pregnant or lactating.
  • The participant is immunocompromised and known to be human immunodeficiency virus positive. The participant has an active bacterial, fungal, and/or known viral infection (for example, hepatitis B surface antigen or hepatitis C antibodies).
  • Cohort-specific exclusion criteria:
  • Part 2 (Cohort A, NSCLC): The participant has NSCLC with worsening symptoms within 14 days prior to receiving GLR2007.
  • Part 2 (Cohort B, Brain metastases of breast or NSCLC origin): The participant has CNS metastasis with worsening symptoms within 14 days prior to receiving GLR2007.
  • Part 2 (Cohort C, GBM): The participant has GBM with worsening symptoms within 14 days prior to receiving GLR2007.

Trial locations and contacts

4 sites in 1 country.

United States4 sites
  • USA004

    Dallas, Texas, 75230

  • USA002

    Lafayette, Indiana, 47905

  • USA005

    Omaha, Nebraska, 68130

  • USA001

    Philadelphia, Pennsylvania, 19111

Other trials in United States

About this study

Official title: An Open-Label, Multicenter, Phase 1b/2 Study to Establish Safety, Tolerability, and Optimal Dosing Strategy of GLR2007 in Subjects With Advanced Solid Tumors

Evaluation of GLR2007 for Advanced Solid Tumors

Read the detailed description

An Open-Label, Multicenter, Phase 1b/2 Study to Establish Safety, Tolerability, and Optimal Dosing Strategy of GLR2007 in Subjects with Advanced Solid Tumors

Being tested
GLR2007
Keywords
Non-small Cell Lung Cancer, Glioblastoma Multiforme, Breast Cancer, Advanced Solid Tumors, GLR2007
Medical subject headings
Carcinoma, Non-Small-Cell Lung, Glioblastoma, Breast Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • GLR2007Drug

    Also called GLR2007-237FA

    Administered orally, once daily for 21 days followed by a 7-day treatment holiday.

Study groups in NCT04444427
Study groupRoleWhat they receive
Part 1: Dose EscalationExperimentalDose escalation cohorts are planned to determine the maximum tolerated dose or recommended phase 2 dose of GLR-2007, as well as expansion cohorts and a Phase 2 cohort.
Receives: Drug: GLR2007
Part 2: Dose Expansion - Cohort AExperimentalParticipants who have received 2 or more second-line therapies, with at least 1 line of standard therapy, for their non-small cell lung cancer (NSCLC) will be dosed the maximal tolerated dose of GLR2007 as determined in Part 1 until lack of tolerance or disease progression.
Receives: Drug: GLR2007
Part 2: Dose Expansion - Cohort BExperimentalParticipants who have received 2 or more second-line therapies, with at least 1 line of standard therapy, for their brain metastases of breast or NSCLC origin will be dosed the maximal tolerated dose of GLR2007 as determined in Part 1 until lack of tolerance or disease progression.
Receives: Drug: GLR2007
Part 2: Dose Expansion - Cohort CExperimentalParticipants experiencing their first recurrence glioblastoma multiforme (GBM) will be dosed the maximal tolerated dose of GLR2007 as determined in Part 1 until lack of tolerance or disease progression.
Receives: Drug: GLR2007

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Dose Escalation: Dose-limiting Toxicities

    Measured: Up to 12 Months

  2. Dose Escalation: Incidence And Severity Of Adverse Events, Including The Incidence Of Dose-limiting Toxicities Within The First Cycle

    Measured: Up to 12 Months

  3. Dose Expansion: Incidence And Severity Of Adverse Events

    Measured: Up to 96 Weeks

Secondary outcomes (8)
  1. Dose Escalation: Objective Response Rate

    Defined by response evaluation criteria in solid tumors (RECIST) Version 1.1 (solid tumors) or by response assessment in neuro-oncology (RANO) (brain metastases and GBM).

    Measured: 8 Weeks

  2. Dose Expansion: Objective Response Rate

    Defined by RECIST Version 1.1 or by RANO as appropriate.

    Measured: 12, 24, 36, 48, 60, 72, 84, and 96 Weeks

  3. Dose Escalation And Expansion: Maximum Observed Plasma Concentration After Single And Multiple Oral Dose Administrations

    Measured: 0, 0.25, 0.5, 1, 2, 4, 6, 8, and 24 hours postdose

  4. Dose Escalation And Expansion: Time At Which Maximum Plasma Concentration Is Observed And Apparent Half-life After Single And Multiple Oral Dose Administrations

    Measured: 0, 0.25, 0.5, 1, 2, 4, 6, 8, and 24 hours postdose

  5. Dose Escalation And Expansion: Area Under The Plasma Concentration-time Curve From 0 To Last Measurable Concentration And From 0 To Infinity After Single And Multiple Oral Dose Administrations

    Measured: 0, 0.25, 0.5, 1, 2, 4, 6, 8, and 24 hours postdose

  6. Dose Escalation And Expansion: Accumulation Ratio After Single And Multiple Oral Dose Administrations

    Measured: 0, 0.25, 0.5, 1, 2, 4, 6, 8, and 24 hours postdose

  7. Dose Escalation And Expansion: Steady-state Volume Of Distribution After Single And Multiple Oral Dose Administrations

    Measured: 0, 0.25, 0.5, 1, 2, 4, 6, 8, and 24 hours postdose

  8. Dose Escalation And Expansion: Clearance After Single And Multiple Oral Dose Administrations

    Measured: 0, 0.25, 0.5, 1, 2, 4, 6, 8, and 24 hours postdose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Jun 2020
  2. Study start15 Jul 2020
  3. Primary completion29 Jul 2022
  4. Study completion29 Jul 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Model description
Part 1 employs a dose-escalation design to determine the recommended phase 2 dose. This is followed by Part 2, which involves parallel dosing of 3 different cohorts at the dose determined in Part 1.
Masking
None (open label)
Enrolment
19 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04444427
Sponsor's protocol ID
GLP-CDK-1009
Status last verified
Jul 2022
First submitted
19 Jun 2020
Last updated
23 Dec 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing GLR2007 in people with Non-small Cell Lung Cancer and Glioblastoma Multiforme, run by Gan and Lee Pharmaceuticals, USA at 4 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 30 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 23 Dec 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Dose Escalation: Dose-limiting Toxicities (time frame: Up to 12 Months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Dec 2022.

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